This manuscript represents a compilation of summaries from the reoperative symposium at the SAGES 2007 conference in Las Vegas, Nevada. The symposium addressed reoperative laparoscopy for several common diseases including colorectal disease, gastroesophageal reflux, hernias, bariatric, and pediatric surgery. The preoperative assessment is crucial to the success of each procedure. Prior to any intervention the underlying functional, mechanical, or pathophysiological disorder must be identified to ensure the success of the reoperative laparoscopic procedure. The ensuing manuscript summarizes the oral presentations and discusses several technical aspects for each disorder.